NPIMap

Organization Active NPI

Hearthstone Counseling Services, Inc.

  • Clinical Psychologist
  • Roseville, CA
National Provider Identifier
1891787644
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17517 Issued in CA
Legal business name
HEARTHSTONE COUNSELING SERVICES, INC.
Practice address
1380 Lead Hill Blvd
Ste. 110
Roseville, CA 95661-2941
Phone
(916) 481-4585
Fax
(916) 786-3080
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Winston Bennett Jr., PH.D.NPI 1790777399
Title
C.E.O.
Phone
(916) 556-4178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY17517 CA Primary

Addresses

Primary practice location

1380 Lead Hill Blvd
Ste. 110
Roseville, CA 95661-2941

Mailing address

1380 Lead Hill Blvd
Ste. 110
Roseville, CA 95661-2941
Phone (916) 481-4585

National Provider Directory

National Provider Directory

Locations

1380 Lead Hill Blvd
Ste 110
Roseville, CA 95661
Phone (916) 556-4178

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1891787644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LEAD HILL BLVD",
            "address_2": "STE. 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612941",
            "telephone_number": "916-481-4585",
            "fax_number": "916-786-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LEAD HILL BLVD",
            "address_2": "STE. 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612941",
            "telephone_number": "916-481-4585",
            "fax_number": "916-786-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHSTONE COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WINSTON",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "916-556-4178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.